ST-Elevation Myocardial Infarction (STEMI). Greg Johnsen, MD, FACC, FSCAI. Epidemiology of Acute Myocardial Infarction Coronary Heart Disease Leading cause of death in high or middle income countries Leading cause of death in the USA

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It is Monday morning, the day after Christmas. You are suddenly awakened at 6:00 a.m. to the shaking and rattling of an Oklahoma earthquake. Because of the surprise of the earthquake, you forget to take your aspirin, plavix, lipitor, metoprolol and metformin. You are angry and depressed because you have just recovered from the flu and you have gained 10 pounds, and you have to go back to work at a high stress job. You have a fight with your father-in-law because he is invading your space and getting on your nerves. For comfort, you eat a large piece of pecan pie and drink a large glass of eggnog for breakfast, and then you smoke a cigarette. At 7:00 a.m., you go out into the freezing cold to shovel a foot of snow off of your driveway and it is a full moon. We all know what happens next……..